Evaluation for Physical Therapy, Typically 20 Minutes Cost in New Mexico
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 20 New Mexico hospitals. CPT 97161. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — New Mexico
Sorted by cash price (lowest first). Showing top 20 of 20 hospitals.
| Hospital | Cash | BCBS | Humana | UHC | Medicare | Aetna | Cigna | TRICARE | Molina |
|---|---|---|---|---|---|---|---|---|---|
| UNION COUNTY GENERAL HOSPITAL CLAYTON |
$29.00 | $38.00 | $38.00 | — | — | $38.00 | — | — | — |
| UNM ADULT PSYCHIATRIC CENTER ALBUQUERQUE |
$51.75 | $80.00 | $65.00 | $80.00 | — | $85.00 | $80.00 | — | $231 |
| ALBUQUERQUE ER & HOSPITAL MONTGOMERY BLVD. NE ALBUQUERQE |
$56.25 | — | — | — | — | — | — | — | — |
| ALBUQUERQUE ER & HOSPITAL EAST ALBUQUERQUE |
$56.25 | — | — | — | — | — | — | — | — |
| CENTRAL DESERT BEHAVIORAL HEALTH HOSPITAL ALBUQUERQUE |
$100 | — | — | — | — | — | — | — | — |
| MINERS COLFAX MEDICAL CENTER RATON |
$100 | — | — | — | — | — | — | — | — |
| LOVELACE REGIONAL HOSPITAL ROSWELL ROSWELL |
$152 | — | — | — | — | — | — | — | — |
| COVENANT HEALTH HOBBS HOSPITAL HOBBS |
$162 | $96.93 | $98.82 | — | — | $94.11 | — | — | $95.05 |
| CIBOLA GENERAL HOSPITAL GRANTS |
$190 | $170 | $108 | $107 | $107 | — | $202 | $106 | $238 |
| REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES GALLUP |
$191 | $541 | $573 | $478 | $153 | — | $592 | — | — |
| SIERRA VISTA HOSPITAL TRUTH OR CONSEQUENCES |
$199 | $101 | $101 | $101 | $101 | — | — | $112 | $106 |
| LOVELACE WESTSIDE HOSPITAL ALBUQUERQUE |
$239 | — | — | — | — | — | — | — | — |
| LOVELACE WOMENS HOSPITAL ALBUQUERQUE |
$239 | — | — | — | — | — | — | — | — |
| CLEARSKY REHABILITATION HOSPITAL OF RIO RANCHO RIO RANCHO |
$255 | — | — | — | — | — | — | — | — |
| MEMORIAL MEDICAL CENTER LAS CRUCES |
$315 | $157 | — | $56.10 | $100 | $71.30 | $63.19 | $100 | $317 |
| HEART HOSPITAL OF NEW MEXICO AT LOVELACE MEDICAL ALBUQUERQUE |
$335 | — | — | — | — | — | — | — | — |
| NOR LEA DISTRICT HOSPITAL LOVINGTON |
$360 | — | — | — | — | — | — | — | — |
| ALTA VISTA REGIONAL HOSPITAL LAS VEGAS |
$370 | — | — | — | $86.17 | — | — | $80.49 | — |
| LOVELACE UNM REHABILITATION HOSPITAL ALBUQUERQUE |
$411 | — | — | — | — | — | — | — | — |
| LOS ALAMOS MEDICAL CENTER WEST ROAD LOS ALAMOS |
$418 | $100 | $100 | $82.00 | $100 | $68.90 | $58.90 | $100 | — |
That is the median of what the 20 New Mexico hospitals above publish for Evaluation for physical therapy, typically 20 minutes — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 97161 in New Mexico, Medicare reimburses about $94.11 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in New Mexico range from $29.00 to $418 — that means hospital cash prices are typically 2.0x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does evaluation for physical therapy, typically 20 minutes cost in New Mexico?
- Cash prices for evaluation for physical therapy, typically 20 minutes (CPT 97161) in New Mexico range from $29.00 to $418, with a median of $191. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for physical therapy, typically 20 minutes in New Mexico?
- The cheapest New Mexico hospital published cash price for this procedure is $29.00. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.